| NPI | 1295704831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: AL 12661) |
| Additional Taxonomies | 174400000X Specialist (Licence: AL 12661) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2025-03-27 |